WENDY HUGHES
Dependent on policy B01M000759
Claims
1
Attributed to this person
Charged
197.00
Total submitted
Denied
197.00
1 denied claims
Patient responsibility
0.00
Reported on the 835
Patient responsibility is the amount reported on the 835 as assigned to the patient — deductible, coinsurance or copay. It is not proof that the provider billed the member, that the member owes it, or that it was collected, and it is kept separate from denied amounts throughout.
Who this is
| Field | Value |
|---|---|
| Name | WENDY HUGHES |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000759 |
| Date of birth | 28 Nov 1997 |
| Plan | GOLD PPO |
| Covered from | 2 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003381 | 16 Jun 2024 | 197.00 | CASCADE CARE | CARC 18 · DUPLICATE | 197.00 |